Patient Account Representative - Medicaid Billing & Follow Up

ESTES PARK HEALTH COMPANY DESCRIPTION:

Estes Park Health exists to make a positive difference to the health and well-being of all we serve. Located about 90 miles northwest of Denver, at 7,522 feet above sea level, Estes Park Health sits in the heart of the Rocky Mountains. As a gateway to Rocky Mountain National Park, the adventurous lifestyle Estes Park supplies open endless outdoor opportunities for our staff. We promote a healthy work-life balance to give our staff the time to enjoy the "playground" that is Colorado.

From pediatrics to geriatrics, Estes Park Health supplies a full spectrum of care for our friends, neighbors, and visitors in the entire Estes Park Valley and Rocky Mountain National Park. Today, over 18,000 patients-residents and visitors alike-see our health care teams for both outpatient and inpatient services.

SUMMARY:

Prepares billing for Medicaid outpatient and inpatient claims for services to send claims to the appropriate payer. Assures claims are clean at time of billing. Follows-up on accounts by using tools to check the status, takes appropriate adjustments and updates information as necessary.

ESSENTIAL DUTIES:

• Ensures timely and accurate daily submission of claims, electronically or via paper.

• Reviews reports in billing system to fix rejections and make corrections or adjustments to meet payer specific guidelines.

• Ensures timely follow-up on billed claims, by contacting payers by phone or using online tools.

• Manages late charges from all departments and determining correct action to take for the claim.

• Reviews aging reports to prioritize follow-up.

• Reviews credit balances to determine if refund is warranted or adjustment correction is needed.

• Participates in committees as assigned

• Performs in accordance with all local, state, and federal laws and regulatory agency standards

• Performs in accordance with EPH vision, mission, and goals

• All other duties as assigned.

POSITION REQUIREMENTS:

• High school level or equivalent.

• Two or more years of experience in hospital or physician billing and/or patient access; Medicaid billing experience strongly preferred.

• Detail Oriented, Excellent people and organizational skills.

• Computer literate in Windows and Microsoft Office suite. Knowledge of Meditech/Allscripts/Epic software beneficial.

WORK ENVIRONMENT:

• The worker is subject to inside environmental conditions and has protection from weather conditions but not necessarily from temperature changes.

• The worker is occasionally subject to outside environmental conditions and has no effective protection from weather.

• Must have flexibility in scheduling (weekends, days, evenings, nights).

• Must be able to sustain normal medical center exposure to bacteria, viruses and fungi.

PAY DETAILS:

$16.50 - $22.44 per hour

BENEFITS:

We offer a full range of benefits to fit your needs and family for full time and part time employees!

All employees are enrolled in a Money Purchase Pension Plan 401(a) which replaces Social Security contributions. You control the investments on-line yourself or with you financial advisor to help it grow. We also offer a 457(b) plan for you to ad additional funds to your investments.

Medical

• Choose from a HSA or PPO medical plan with pre-tax spending accounts.

Dental

• An affordable all-inclusive services plan. No need to choose from 2 or 3 options.

Vision

• Just for you or your whole family.

Paid Time Off

• Personal and sick leave immediately available as accrued each pay period.

Medical Transport

• Add MASA as a supplemental for both Air and Ground usable in all 50 states.

Accident and Critical Illness

• For those unexpected life issues that may happen. Cash payouts to you.

Term Life and AD&D INS.

• Free to full and part time employees.

Voluntary Life Ins.

• Additional coverage for you to purchase for yourself, spouse and or children.

Short Term Disability

• 2 levels to purchase for your needs.

Long Term Disability

• Free to you while employed.

Employee Assistance Program

• A comprehensive program for you and your family member which includes a national provider network for counseling services, life balance services, legal and financial services

For more information about this opportunity e-mail questions to HR@eph.org.

Equal Opportunity Employer: We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, national origin, disability status, genetic information, protected veteran status or any other characteristic protected by law.

The descriptions above are listed as is at the time of posting and could change as needed at any time in accordance with state, local and federal laws.